DAVID MILLER (MA, CCC-SLP) – Speech-Language Pathologist, NPI 1659747806

DAVID MILLER (MA, CCC-SLP) is a healthcare provider. based in Sauk rapids, Minnesota. specializing in QUALIFIED SPEECH LANGUAGE PATHOLOGIST. They hold the professional credentials MA, CCC-SLP. They hold a License No. 7383 (MN). The NPI Number for DAVID MILLER (MA, CCC-SLP) is 1659747806

Main info

Male
Sole Proprietor
25 Years Of Experience
Accepts Medicare Assignment
Name
DAVID MILLER (MA, CCC-SLP)
NPI
1659747806
Phone
Not provided
Address
1115 4TH AVE N
Enumeration Date
11 August 2015
Last Update Date
11 August 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8004446845
Graduation Year
2001 (25 years ago)
PAC ID
8820369861
Group Practice PAC ID
5193036432
Professional Enrollment ID
I20170809001045
Address ID
MN553084774BE11175SEXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:10State licenses:1Digital endpointsOther names

239 QUALIFIED SPEECH LANGUAGE PATHOLOGIST in MN

Provider Addresses for DAVID MILLER (MA, CCC-SLP)

  • 1115 4TH AVE N

    SAUK RAPIDS, MN 563792201

    Phone:

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2017-08-09

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20170809001045IQualified Speech Language PathologistMNTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 56379)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5193036432View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeIL
Occupational Therapist In Private PracticeAL
-MO
-AL
-IL
Physical Therapist In Private PracticeTN
Qualified Speech Language PathologistFL
Occupational Therapist In Private PracticeIL
Occupational Therapist In Private PracticeIL
-MO

Reviews

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Frequently asked questions

What identifier follows DAVID MILLER (MA, CCC-SLP) across health systems?
The NPI 1659747806 uniquely identifies DAVID MILLER (MA, CCC-SLP) in U.S. healthcare data.
Is DAVID MILLER (MA, CCC-SLP) currently accepting referrals based on NPI status?
Registry metadata lists DAVID MILLER (MA, CCC-SLP) as active.
What does the directory say DAVID MILLER (MA, CCC-SLP) does?
Insurance directories may phrase it differently, but here DAVID MILLER (MA, CCC-SLP) maps to Speech-Language Pathologist. Clinical services aligned with this taxonomy classification.
What city is tied to DAVID MILLER (MA, CCC-SLP)?
The directory associates DAVID MILLER (MA, CCC-SLP) with Sauk Rapids, Minnesota. Check all listed addresses for suites or satellite offices.
Who maintains DAVID MILLER (MA, CCC-SLP)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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